RELEASE
Authorization for Release of Confidential information: In consideration of the services to be undertaken or rendered on my behalf by Prince of Peace Catholic Community, its members, agents or affiliated organizations (hereinafter referred to as “POP”, I the undersigned, hereby authorize POP to receive, from any and all sources, and to release to any person or organization, any confidential informaton regarding me which may be necessary or useful to POP in relation to the services to be rendered.d I hereby release POP from all liability in any way related to the receipt and/or release of said confidential information. I further understand that the release of this information does not guarantee that assistance will be provided, but that without such information my case cannot be considered.